CMS Price Transparency Data

Blood test, glucose (blood sugar)

Facility: Geisinger Wyoming Valley Medical Center

Billing Code: 82947 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 82947
  • Insurance Median: $11
  • Cash Discount Price: $23
  • vs. Medicare Baseline: 2.80x Medicare
The contracted insurance negotiated median rate for a Blood test, glucose (blood sugar) at Geisinger Wyoming Valley Medical Center is $11. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $23. Compared to the federal Medicare reimbursement reference rate of $3.93, this hospital’s rate is 2.80x the Medicare baseline. Located in 1000 East Mountain Boulevard, Wilkes Barre, PA.
Cash / Self-Pay
$23

Average discount available for prompt cash payment at this facility.

Insurance Median
$11

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$3.93

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $3.93 (100%)
Cash / Self-Pay: $23 (585%)
Insurance Median: $11 (280%)
Cash: $23 (585% of Medicare)
Ins. Median: $11 (280% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $3.93 as the cost baseline. Rates below the baseline represent excellent value. In-network commercial rates commonly hover around 150% - 250% of Medicare, while rates exceeding 300% are elevated. Hover over the green and blue markers to view detailed calculations.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 280% of the Medicare baseline (a markup of 180%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Input your details and click calculate to compare out-of-pocket costs.

Commercial Insurance Negotiated Rates

Negotiated contract ranges established by major commercial carriers at this facility.

Carrier / Plan Group Contract Rate Range vs. Medicare Reference
Blue Cross Blue Shield $4 - $9 102%
Geisinger Family Plan $4 102%
Geisinger Health Plan $4 - $12 102%
Humana $4 102%
Life Geisinger $4 102%
Medicaid / KanCare $4 102%
Medicare (plans) $4 102%
Prison Health Services $4 102%
Amerihealth $5 127%
Health Partners $5 127%
Upmc Chip $5 127%
Upmc For You $5 127%
Ambetter / Centene $13 331%
Cigna $16 - $17 407%
Aetna $17 - $25 433%
Christian Healthcare Ministries $18 458%
UnitedHealthcare $19 483%
Wyoming Seminary $26 662%
Intergroup Services $31 789%
Multiplan $31 789%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1000 East Mountain Boulevard, Wilkes Barre, PA 18711
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals